Summary
Overview
Work History
Education
Skills
Timeline
Generic

Summer Davis

Knoxville,TN

Summary

Experienced with credentialing processes and team management. Utilizes organizational and leadership skills to ensure compliance and streamline operations. Knowledge of regulatory requirements and effective workflow implementation.

Overview

6
6
years of professional experience

Work History

Internal Credentialing Supervisor

TeleSpecialists, LLC
06.2022 - Current
  • Managed provider credentialing processes and ensured compliance with regulatory standards.
  • Analyzed and verified provider credentials and experience for accuracy and completeness.
  • Assisted in resolving credentialing issues and discrepancies with providers and regulatory bodies.
  • Collaborated with internal teams to streamline credentialing procedures.
  • Implemented process improvements to streamline credentialing workflow and increase efficiency.
  • Performed quality audits to ensure compliance with industry standards.
  • Trained and supervised credentialing staff to ensure accuracy and efficiency.
  • Managed the credentialing committee meetings.
  • Participated in audits and accreditation surveys related to credentialing.

Internal Credentialing Coordinator

TeleSpecialists, LLC
03.2021 - 06.2022
  • Processed and submitted initial and reappointment applications for healthcare providers.
  • Reviewed provider credentials and documents for accuracy and compliance with organization and regulatory standards.
  • Identified and analyzed the physician's information received to ensure complete accuracy.
  • Maintained databases and credentialing files to ensure accurate and up-to-date information.
  • Ensured departmental guidelines were followed to support all Internal Credentialing policies and procedures.
  • Made sure leadership was aware of any potential derogatory issues identified during the credentialing process and would work in collaboration with practitioner to document/resolve the issue.

External Data Entry Specialist

TeleSpecialists, LLC
08.2020 - 03.2021
  • Completed the credentialing applications and enrollment for employed tele-medicine physicians.
  • Served as a delegate for physician's in submitting initial and re-applications requesting hospital privileges.
  • Assisted with the on-boarding process ensuring all documentation was submitted to proper MSOs.
  • Made leadership aware of any potential derogatory issues identified throughout the credentialing process and worked in collaboration with physician/leadership to resolve the issue.
  • Updated CAQH profiles as new facilities and licenses were added for all tele-medicine physician's.

Healthcare Administrative Intern

Mayo Clinic Hospital
01.2019 - 05.2019
  • Created and collected visual data aids to present to senior leadership.
  • Created meeting agendas and recorded meeting minutes for committees attended.
  • Imputed data entry into specialized productivity tools creating employee performance dashboards.
  • Managed calendars, appointments, and meetings for executives and senior staff.
  • Assisted with planning Advanced Practice Providers new hire orientations, subcommittee meetings and luncheons.

Education

Bachelor of Science - Health Services Administration

University of Central Florida
Orlando, FL
05-2019

Skills

    Effective Leadership

    Communication

    Strong interpersonal skills

    Strong work ethic

    Time Management

    Conflict resolution

    Strategic planning

    Team building

    Adaptability

    Organization

Timeline

Internal Credentialing Supervisor

TeleSpecialists, LLC
06.2022 - Current

Internal Credentialing Coordinator

TeleSpecialists, LLC
03.2021 - 06.2022

External Data Entry Specialist

TeleSpecialists, LLC
08.2020 - 03.2021

Healthcare Administrative Intern

Mayo Clinic Hospital
01.2019 - 05.2019

Bachelor of Science - Health Services Administration

University of Central Florida

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Summer Davis